Skilled nursing facility · CMS certification number 265851
SILVERSTONE PLACE
ROLLA, Missouri · Medicare and Medicaid
Certified beds, as filed in Care Compare: 110
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 October 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,276,932 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$172,663 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,449,595 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,923,010 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $526,585 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $181,429 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $708,014 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $708,014 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 40,260 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,105 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 23,678 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,329 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 30,112 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 37 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 57 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 28 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 122 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 415.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 246.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1440437, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,880,306 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $157,579 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,722,727 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,406,584 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$683,857 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $35,599 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$648,258 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$648,258 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,220 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 545.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 256.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1394536, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,774,322 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,123 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,766,199 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,959,590 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$193,391 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,928 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$187,463 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$187,463 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,399 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 377.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 171.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1363727, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,064,948 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $179,090 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,885,858 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,104,293 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$218,435 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $803,784 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $585,349 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $585,349 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,532 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 123 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 497.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 191.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333084, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 13 August 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,996,680 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$529,506 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,526,186 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,014,497 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $511,689 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $806,102 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,317,791 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,317,791 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,570 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 721.66 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 228.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1293658, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 August 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,715,985 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$16,248 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,732,233 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,978,511 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $753,722 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $105,561 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $859,283 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $859,283 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,453 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 130 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 745.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 257.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1265087, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 July 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,099,538 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $171,576 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,927,962 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,972,483 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $955,479 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $125,170 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,080,649 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,080,649 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,404 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 136 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 790.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 252.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1237070, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,767,671 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $152,925 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,614,746 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,537,632 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,077,114 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $197,946 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,275,060 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,275,060 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,351 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 181 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 314.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 184.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1207661, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,955,899 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$7,341 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,963,240 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,968,110 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,870 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,963 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $6,093 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $6,093 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,860 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 210 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 180.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169871, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 25 March 2015 to 31 December 2015 — a reporting period of 281 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 25 July 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,654,283 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$57,476 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,711,759 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,944,829 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$233,070 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,557 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$229,513 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$229,513 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,881 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 106 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 215.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1136239, read from the public cost report file SNF10FY2015.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| GOTT, CHARITY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/08/2025 |
| LEBEDOWICZ, BOHDAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/08/2025 |
| RILEY SPENCE MANAGEMENT COMPANY, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/08/2025 |
| RILEY, CHARLES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/08/2025 |
| SPENCE, GREGORY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/08/2025 |
| LEBEDOWICZ, BOHDAN | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 01/01/2016 |
| RILEY, CHARLES | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 01/14/2011 |
| SPENCE, GREGORY | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 01/14/2011 |
| RILEY SPENCE MANAGEMENT COMPANY, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/18/2024 |
| GOTT, CHARITY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 07/05/2023 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of SILVERSTONE SNF LLC (enrollment ID O20140923001372).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| CHARLES J RILEY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 37.5 | 1/14/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| GREGORY S SPENCE | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 62.5 | 1/14/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BOHDAN A LEBEDOWICZ | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/8/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CHARITY GOTT | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/8/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CHARLES J RILEY | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/8/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| GREGORY S SPENCE | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/8/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RILEY SPENCE MANAGEMENT COMPANY, LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/8/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| BOHDAN A LEBEDOWICZ | Individual | CONTRACTED MANAGING EMPLOYEE | 0 | 1/1/2016 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CHARLES J RILEY | Individual | DIRECT OWNERSHIP INTEREST | 37.5 | 1/14/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| GREGORY S SPENCE | Individual | DIRECT OWNERSHIP INTEREST | 62.5 | 1/14/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RILEY SPENCE MANAGEMENT COMPANY, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/18/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHARITY GOTT | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/5/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 February 2025: GREGORY S SPENCE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 February 2025: CHARLES J RILEY no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 February 2025: GREGORY S SPENCE appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 February 2025: GREGORY S SPENCE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 February 2025: BOHDAN A LEBEDOWICZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 February 2025: BOHDAN A LEBEDOWICZ appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 February 2025: RILEY SPENCE MANAGEMENT COMPANY, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 February 2025: CHARITY GOTT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 February 2025: CHARITY GOTT appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 February 2025: CHARLES J RILEY appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 February 2025: CHARLES J RILEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
Recent changes on this record
- 10 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 February 2025: GREGORY S SPENCE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 February 2025: CHARLES J RILEY no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 February 2025: GREGORY S SPENCE appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 February 2025: GREGORY S SPENCE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 February 2025: BOHDAN A LEBEDOWICZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 February 2025: BOHDAN A LEBEDOWICZ appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 February 2025: RILEY SPENCE MANAGEMENT COMPANY, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 February 2025: CHARITY GOTT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 February 2025: CHARITY GOTT appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 February 2025: CHARLES J RILEY appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 1 February 2025: CHARLES J RILEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- 11 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 31 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 20 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 13 August 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 26 August 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 16 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 18 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 25 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 5 June 2025 | 5 June 2025 | 2 | 0 |
| 2 | 16 May 2024 | 16 May 2024 | 10 | 0 |
| 3 | 9 March 2023 | 9 March 2023 | 21 | 10 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
33 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 20 November 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Past Non-Compliance | |
| 24 July 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 15 August 2025 |
| 5 June 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 11 July 2025 |
| 12 March 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Past Non-Compliance | 10 March 2025 |
| 16 May 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | No | Deficient, Provider has date of correction | 24 June 2024 |
| 16 May 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | No | Deficient, Provider has date of correction | 24 June 2024 |
| 16 May 2024 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | No | Deficient, Provider has date of correction | 24 June 2024 |
| 16 May 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 24 June 2024 |
| 16 May 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | 24 June 2024 |
| 16 May 2024 | Health | F 0802 | Nutrition and Dietary Deficiencies | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | No | Deficient, Provider has date of correction | 24 June 2024 |
| 16 May 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | 24 June 2024 |
| 16 May 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 24 June 2024 |
| 9 March 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | No | Deficient, Provider has date of correction | 24 April 2023 |
| 9 March 2023 | Health | F 0567 | Resident Rights Deficiencies | Honor the resident's right to manage his or her financial affairs. | E | No | Deficient, Provider has date of correction | 24 April 2023 |
| 9 March 2023 | Health | F 0569 | Resident Rights Deficiencies | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | No | Deficient, Provider has date of correction | 24 April 2023 |
| 9 March 2023 | Health | F 0570 | Resident Rights Deficiencies | Assure the security of all personal funds of residents deposited with the facility. | E | No | Deficient, Provider has date of correction | 23 April 2023 |
| 9 March 2023 | Health | F 0575 | Resident Rights Deficiencies | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | No | Deficient, Provider has date of correction | 24 April 2023 |
| 9 March 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | 24 April 2023 |
| 9 March 2023 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | No | Deficient, Provider has date of correction | 10 April 2023 |
| 9 March 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | 24 April 2023 |
| 9 March 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | 24 April 2023 |
| 9 March 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | 24 April 2023 |
| 9 March 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 24 April 2023 |
| 9 March 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 24 April 2023 |
| 9 March 2023 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 24 April 2023 |
| 9 March 2023 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | No | Deficient, Provider has date of correction | 23 May 2023 |
| 9 March 2023 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | 15 April 2023 |
| 9 March 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | 23 April 2023 |
| 9 March 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | 23 April 2023 |
| 9 March 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 23 May 2023 |
| 9 March 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 23 May 2023 |
| 9 March 2023 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | 23 April 2023 |
| 9 March 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | 23 May 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | SILVERSTONE SNF LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2015-03-25 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Phelps |
| Telephone Number | 5734266200 |
| Chain Name | RILEY SPENCE SENIOR LIVING |
| Chain ID | 658 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 110 |
| Average Number of Residents per Day | 86.2 |
| Overall Rating | 3 |
| Health Inspection Rating | 4 |
| QM Rating | 2 |
| Long-Stay QM Rating | 1 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on SILVERSTONE PLACE: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 10 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for SILVERSTONE PLACE
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Missouri at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 265851.